Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $7,413.10 / $18,197.01	Facility		$2,818.38	$7,413.10	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $309.03 / $870.96	Professional		$123.03	$309.03	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $524.81	Professional		$141.25	$208.93	$524.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,174.90 / $5,754.40	Facility		$66.07	$1,174.90	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $269.15 / $575.44	Professional		$141.25	$269.15	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $977.24	Facility		$831.76	$831.76	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $269.15 / $602.56	Professional		$131.83	$269.15	$602.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $141.25 / $501.19	Professional		$63.10	$141.25	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $309.03 / $562.34	Professional		$123.03	$309.03	$562.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $45,708.82 / $45,708.82	Facility		$3,715.35	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $2,511.89	Professional		$2,137.96	$2,511.89	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $416.87	Professional		$251.19	$251.19	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $269.15 / $524.81	Facility		$138.04	$269.15	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $281.84 / $630.96	Professional		$131.83	$281.84	$630.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $1,023.29	Professional		$407.38	$407.38	$1,023.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $338.84	Professional		$79.43	$114.82	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,265.80 / $9,772.37	Facility		$2,344.23	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $245.47 / $602.56	Professional		$107.15	$245.47	$602.56